Kelly Hinkle Pugh, PA-C is a medicare enrolled "Physician Assistant" in Loudon, Tennessee. Her current practice location is
202 Dohi Dr, Loudon, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(865) 205-3025.
Kelly Hinkle Pugh is licensed to practice in Tennessee (license number 4502) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1447839105.
Provider's Profile
| Full Name | Kelly Hinkle Pugh |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 202 Dohi Dr, Loudon, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1447839105
- Provider Enumeration Date: 04/07/2021
- Last Update Date: 03/24/2022
Medicare PECOS Information:
- PECOS PAC ID: 7113322348
- Enrollment ID: I20210825003047
Medical Identifiers
Medical identifiers for Kelly Hinkle Pugh such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1447839105 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | 4502 (Tennessee) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Hinkle Pugh is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Kelly Hinkle Pugh, PA-C 202 Dohi Dr, Loudon, TN 37774-2851 Ph: () - | Kelly Hinkle Pugh, PA-C 202 Dohi Dr, Loudon, TN 37774-2851 Ph: (865) 205-3025 |
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